A medical coder's job is to translate information from patient records into medical codes that are used by billers for claims and by healthcare providers for record-keeping. Medical coders need to be knowledgeable about medical terminology and anatomy, and they need to follow medical coding guidelines and policies. Some of their responsibilities include:
Transcribing information: Transcribing patient information into medical codes from documents like physician's notes, lab reports, procedures, and diagnoses
Checking records: Checking medical records for missing information and ensuring they are complete and accurate
Conducting audits: Conducting chart audits to ensure compliance with medical coding guidelines and policies
Communicating: Communicating with medical providers and insurance companies to confirm details and get the highest degree of specificity
Using technology: Using coding software and patient record platforms
Ensuring confidentiality: Ensuring the confidentiality and security of all patient information
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